Evidence map›Paper›PMID 40712624›Full record

ReviewLancet (London, England)2025

Bipolar disorder.

Balwinder Singh, Holly A Swartz, Alfredo B Cuellar-Barboza, Ayal Schaffer, Tadafumi Kato, Annemieke Dols, Sarah H Sperry, Andrea B Vassilev, Katherine E Burdick, Mark A Frye

Abstract readReview
In one paragraph

Review in Lancet (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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  7. Digital mental health: innovations in assessment and intervention.Journal of Zhejiang University. Science. B · 2026
    Article
  8. Review
  9. Article
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  12. Catatonia treatments and risk of recurrence.Journal of affective disorders · 2026
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  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Balwinder SinghDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA. Electronic address: singh.balwinder@mayo.edu.
Holly A SwartzDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Alfredo B Cuellar-BarbozaDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA; Department of Psychiatry, Autonomous University of Nuevo Leon, San Nicolas de los Garza, Mexico.
Ayal SchafferDepartment of Psychiatry, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Tadafumi KatoDepartment of Psychiatry and Behavioral Science, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Annemieke DolsDepartment of Psychiatry, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, Netherlands.
Sarah H SperryDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
Andrea B VassilevLos Angeles, CA, USA.
Katherine E BurdickDepartment of Psychiatry, Harvard Medical School, Brigham and Women's Hospital, Boston, MA, USA.
Mark A FryeDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.

Funding

Institutional Career Development CoreKL2TR002379 · NCATS · MAYO CLINIC ROCHESTER · PI NILUFER ERTEKIN-TANER · 2017 to 2026
$14.9M
NCATS NIH HHS KL2 TR002379
6 · The paper itself

Abstract

The hallmark of bipolar disorder is hypomania or mania, and the predominant phase of illness is depression. Affecting approximately 40 million individuals worldwide, bipolar disorder is associated with a substantial psychosocial, medical, and financial burden and increased mortality from suicide and other causes. Diagnosis can be challenging due to symptom overlap with attention-deficit hyperactivity disorder, major depressive disorder, psychotic spectrum disorders, and personality disorders, which often leads to a delay in diagnosis. Recent advancements in understanding disease risk and pathophysiology have identified multigene risk and possible infectious and mitochondrial causes. Treatment approaches include pharmacotherapy, psychotherapy, and lifestyle modifications, which should always be patient-centred and aligned with individual goals and priorities. Future directions for bipolar disorder care include increasing the availability of psychosocial interventions aimed at self-management, addressing treatment-resistant bipolar depression, deepening the understanding of pathophysiology, and exploring novel interventions, such as ketamine, esketamine, other rapid-acting antidepressants, and various neuromodulation approaches.

Indexed as

Bipolar DisorderAntidepressive AgentsHumansPsychotherapyAntidepressive Agents

Identifiers

PMID40712624
PMCPMC12340982

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.